| NPI | 1083430425 |
|---|---|
| Doing Business As | EAST LOGAN - FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | JP VALIN EVP Chief Clinical Officer 801-442-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2024-12-02 |
| Last Update Date | 2024-12-02 |